Roach, Neil A
Roach, Neil A is an individual health care provider with primary practice located at 17 White Horse Pike Ste 9, Haddon Heights NJ 08035-1299. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Roach, Neil A can be contacted via phone (856) 546-1177.Contact Information
Primary practice address
17 White Horse Pike Ste 9
Haddon Heights NJ 08035-1299
Phone: (856) 546-1177
Fax: (856) 546-0666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD052730L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA05227300 | New Jersey |
Profile Details
| NPI number | 1114955259 |
|---|---|
| LBN Legal business name | Roach, Neil A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Feb 25th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114955259 | NPPES |
| Pennsylvania | MEDICAID | 0014666080020 | |
| Pennsylvania | Other | 0716985000 | |
| Pennsylvania | MEDICAID | 001466608 | |
| Pennsylvania | Other | P00390756 | |
| Pennsylvania | Other | P00403104 | |
| Pennsylvania | Other | PA7584 | |
| Pennsylvania | Other | 231955165 | |
| Pennsylvania | Other | 001466608 | |
| Pennsylvania | Other | 231955165 | |
| Pennsylvania | MEDICAID | 6185703 | |
| Pennsylvania | Other | 034628 | |
| Pennsylvania | Other | 367605 | |
| Pennsylvania | Other | MD052730L | |
| Pennsylvania | Other | 30035147 |
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